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HomeMy WebLinkAboutBuilding Permit #751 - 60 AMBERVILLE ROAD 5/25/2010BUILDING PERMIT. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: r7 Date Received TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building �Iamilo'. -'ddifi�on �nee wo or morefamily 0 0, m Industrial -ATt-eration No. of units: Commercial Repair, replacement Assessory Bldg Others: Other "Remolition iNellE D qJ We lanidi_ -W_aA6ish6d Astf-Ic ateawe, 4g ' -TIod, y DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: CA 11 014 Phone: Address: <o'O A.-) 19 Elz-,i i I . I e__ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ \o y -FEE: $ 5S ell - Check No.: 1z Receipt No.: _�;q 3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location (--va Date No. MORTh TOWN OF NORTH ANDOVER D j ao� ; Certificate of Occupancy $ J.cMusE`� Building/Frame Permit Fee $ ✓ Foundation. Permit Fee $ , Other' Permit, Fee $ i TOTAL �, r s $ Check v 23i5; Building Inspector i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco. Sales Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comm Conservation Decision: Comments Water & Sewer Connection/Signature & Date - Driveway Permit DPW Town Engineer: Signature: Dimension Number. of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 2 1 A -F and G min.$10041000 fine IVU I t5 and UA I A — (I- or department use) ❑ Notified for pickup - Date i Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Mass check Energy Compliance Report (If Applicable) ❑ -Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application L3 Certified Proposed:Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry.of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2008 AMWAMM LA ,1 cc x V H U. Co oG 0 ow GO - V Ori) U u° u T cn "„� � r• � w° a2 0T1 U w .G hr•�1 w°' w � U a�' cn w � v ca w w W r 90 z C/) u o cn UJ Z � c o m c CDcc w O O O C-2 •�'O � iii O. C O m 'wco Ci) CD _C.2 o c. EE Z :Dm O 4 0 F - "O O c E �D Go cc � m N O � N ; co cmm J N �co o -o IzE2- . =ocaZ NM o O :gym � w U CD o o.vm y m m C= _ :O os Cf) C2 V N Z O ` O C CM, O. N m C c = m m y=••, p N CC t W C W =,o - 'S = �••� N �= O•C Z CCD,N o a � m` o �o CO3 m _ C2 O f- = s m r :' CD co CDL V Z CD Q. O CO) C/2 0 '0 y CO CO co Cl co co t/ 3 co 0 O co L CO Cl oma„ CL. v�Q 0 CACcC r=te+ C C Z co V Go Go CIO C c CL COD is LLI Y/ UA N W W cz W CC Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"s Massachusetts consumer guide to home improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-87$7 or 1488-283-3757. Homeowner Information Contractor Information Name (0 O Of--\ --\ b !v tit I � � �� ompany N ame 9th ML-eL'_I t 0 vt Street Address (do not use a Post Office Box address) Contractor/ Salesp rson/ Owner Name t cl s wvnf -► Sit 7 is-� Si. . City/Town State Zip Code 3usiness Address (must include a street address) 0 C U - Daytime Phone Evening Phone aty own State Zip Code Mailing Address (It different from above) Business Phone Ifederal Employer ID or S.S. Number - taw m4uimt that most home im- � �rraotiotro'nmoba �' ` Home v®rat Contractor an. Numha Expiration dote The Contractor agrees to do the following work for the Homeo sts nem: Y! \9 I l�� + "��� I e worr to o5mliletea, speclivull me Me. Brand. and Me nom, TFa7?�tF¢ar�tF-Prs -rF six t J yt. VJ —4 0. .d-- S,, SP"c 2 CC i Li --) ei , Required Permits - The following building permits are required Proposed Start and Completion Schedule - The following schedule will and will be secured by the contractor as the homeowners agent, be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions ofL \7 Date when contractor will begin contracted work MGL chapter 142A.) Wl Date when contracted work will be substantially completed Total Contract Price and Payment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: FAI $ 60%)_ upon signing contract (riot to exceed 1/3 of the total contract price or the cost of special order items, whichever is.greater) by / 3 /I_Q_ or upon completion -of agar Cts _b $ I gJ3 by k—/ -2 -/iv- or upon completion of _ ji/ A t \ a eg (sfit_. $_ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order $ to be paid for to meet the completion schedule,(**) NOTES: (•) Including all finance charges (••) Law requires that any deposit or down -payment required by the contractor before work begins may not exceed the greater of (a) one-third of the total contract price or tb) the actual cost of any special equipment or custom made material which must be special orderedin advance to meet the completion schedule. Express Warront Is an express warreaty beine provided by the contractor? No Yes (all terms of the warrenfv must be attached to the contract) Subcontractors - Th&rontractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration The law requires most home improvement contractors and subcontractors to be registered with the Director of Home hnpmvement Contractor Registration. You may inquire about contractor registration by writing to the Director at One Ashburton Place, Room 1301, Boston, MA 02108 or by calling 617-727-3200 or 1-800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place oilier than the contractor's. normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following,the signing of this agreement See the attached notice of cancellation form for an explanation of this right. i mT. "r% aod-%T n.t.-. .. .�w "y 1 "J'"" 1 "10 wlv I AAL, I If' I tiEKL+ AKL+' ANY BLANK SPACES!!! Two identical copies of thecontract must be completed and signed One copy should go to the hoincowner. The other copy should. be kept by the contractor. 3 Homeowner's Signature C ctor's Signature /7 J I -)S 2 Date n Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an . alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree .in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 14 Homeowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this saction is not separately signed by the parties. - Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty. Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific l-Pgal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about Your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until.a copy of all exhibits and referenced documents have been.attached. Parties are.also advised not to sign the document until all blank sections have been filled in or marked as `void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner"and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day recission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, ortf you wish to obtain a free copy of "A Consumer Guide to the Home Improvement Contractor Law," contact: Consumer ]information Hotline Office of Consumer Affairs and Business Regulation .10 Park Plaza, Room 5170, Boston, MA 02116 (617) 973-8787 or ]-(888) 2833757 1 If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement .Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place, Room 1301, Boston, MA 02108 (617)727-3200 or, 1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section r Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 M G "W D LIS Z a- S Q;:N 6 I r S 4- ACOR©® CERTIFICATE OF LIABILITY INSURANCE `.../" �1TE(MM/DDYYYYj 4/13/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M.P. Roberts Insurance Agency 1060 Osgood Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOESOR ALTER THEHIS COVERAGE AFFORDED BYO THE POAMENLICIES BEDLOW. North Andover, MA 01845 GENERAL LIABILITY NORTH ANDOVER, MA 01845 REPRESENTATIVES. _ INSURERS AFFORDING COVERAGE NAIC # INSURED INSuRERA: Travelers BAILEY CUSTOM HOMES, LLC. INSURER B: LLOYD'S LONDON 10/1/09 A/0 BLAINE SCRIBNER 385 SUTTON STREET NORTH ANDOVER, MA 01845 INSURER C: $ 100 000 INSURER D: INSURER E: -COMMERCIAL - CLAIMS X OCCUR I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' POLICY NUMBER POUCY EFFECTIVE POT C EXPIRATION LIMITS L R NS FIN UR CEDATE (MIVVDDffYYY) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 384 OSGOOD STREET GENERAL LIABILITY NORTH ANDOVER, MA 01845 REPRESENTATIVES. _ EACH OCCURRENCE $ 1,000,000 B X GENERAL LIABILITY IILGLO917762 10/1/09 10/1/10 DAMAGE TO RENTED PREMISESSEacccurrence $ 100 000 -COMMERCIAL - CLAIMS X OCCUR I - MED EXP (Any one person) I $ 5,_000 _ j $ 1,000,000 PERSONAL&ADV INJURY GENERAL AGGREGATE $ 2, 00, 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OPAGG $ 2 000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABI UTY COMBINED SINGLE LIMIT $ ANYAUTO (Eaaccident) BODILY INJU RY $ ALL 0 W NE D AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN E'ACC $ ANYAUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- I IM A AND EMPLOYERS' LIABILITYRV ANY PROPRIETORIPARTNERIEXECUTIVE YI 074ON77 7/14/09 7/14/10 E.L. EACH ACCIDENT $ 500,000 500,000 OFFICE RtME MBER EXCLUDED? (Ma Mabry in NH) E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 500,000 Ifye s, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CFRTIFICATF HAI nFR CANCELLATION ACORD 25 (2009101) © 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN TOWN OF NORTH ANDOVER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 384 OSGOOD STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR NORTH ANDOVER, MA 01845 REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE roriw6� Y ACORD 25 (2009101) © 1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD